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Individual

DR. MICHAEL EMEEL MOUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
228 S CLOVIS AVE, FRESNO, CA 93727-4254
(714) 801-8878
Mailing address
228 S CLOVIS AVE, FRESNO, CA 93727-4254
(714) 801-8878

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A136912
CA

Other

Enumeration date
10/22/2010
Last updated
04/26/2016
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